Pagoda Behavioral Health LLC
NPI #1164236782 in Albuquerque, New Mexico
Provider Information
- NPI Number
- 1164236782
- Entity Type
- Organization
- Organization Name
- Pagoda Behavioral Health LLC
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Feb 4, 2025
- Last Updated
- Feb 4, 2025
Practice Location
- Address
- 1203 IRON AVE SW APT 2
- City
- Albuquerque
- State
- New Mexico
- ZIP Code
- 87102-3784
- Phone
- (505) 795-0706
Authorized Official
- Name
- FERNANDO ORTIZ
- Title
- CREDENTIALING MANAGER
- Phone
- (575) 707-8150
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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